Pharmacy Benefit Auditors

Pharmacy benefit auditors routinely review a pharmacy benefit plan to ensure there are no errors with the plan's administration.
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Truveris

Truveris

4.5 (1)
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Ongoing Pharmacy Oversight: Truveris offers independent pharmacy benefit oversight through comprehensive monitoring of pharmacy claims throughout the PBM contract lifecycle. Our solution systematically validates PBM performance against contract terms, ensuring compliance and identifying... Show More
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Lumelight

Lumelight

5.0 (1)
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Founded

1998

Employees

450

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About Lumelight

Six respected companies. One new standard. Lumelight brings together the expertise, capabilities, and people behind six legacy brands: Benefit Comply, BMI Audit Services, Consova, CXC Solutions, Healthcare Reporting, ClearFile, and MZQ Consulting, to create a single, integrated solution for the business side of benefits. From compliance to claims to analytics, we’ve rebuilt the experience from the ground up to help clients spend less time navigating complexity and more time moving their business forward. We serve the brokers and TPAs who support employers in the complex, crucial areas of benefits design, compliance, and administration. We simplify the business side of benefits,... Show More
RxResults

RxResults

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Founded

2008

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0

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About RxResults

RxResults, the proven industry leader for Evidence-Based Pharmacy Risk Management, is uniquely positioned to help you identify health plan savings and mitigate risk.

A Pharmacy Risk Manager doesn't replace a PBM. It serves to enhance a PBM model as an advocate for the plan sponsor and its plan participants. Show More
Crumdale Partners

Crumdale Partners

5.0 (1)
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Founded

2014

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0

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About Crumdale Partners

Crumdale Partners is a diversified insurance firm providing custom, self-funded healthcare solutions to a bespoke set of brokers, consultants, and agents nationwide. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees. We sell integrated and unbundled solutions to brokers looking for flexibility in their self-funded and level-funded health plans, pharmacy benefits, stop-loss, actuarial and compliance needs.­ Show More
MedBill Management

MedBill Management

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>>>Pharmacy Claims Audits assess the accuracy of prescription drug claims payments in the same precise and comprehensive manner as our Medical Claims Audits. Pharmacy Claims Audits analyze the Pharmacy Benefit Manager’s (PBM) compliance... Show More
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MMA Rx Solutions

MMA Rx Solutions

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Founded

2016

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0

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About MMA Rx Solutions

MMA Rx Solutions is Marsh & McLennan Agency’s proprietary pharmacy management approach for self-insured clients that lowers prescription unit cost, protects the integrity of pharmacy contracts and helps make employees better pharmacy consumers. 

MMA Rx Solutions is a unique approach in that it is compatible with every PBM and TPA and can enhance carve-in, carve-out or coalition arrangements – whichever best suits the client.

By partnering with MMA Rx Solutions employers gain more visibility into their pharmacy arrangement, a more competitive contract, best-in-class pricing and a more engaged and educated membership."
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RxBasis

RxBasis

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0

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About RxBasis

Upload your contract and claims. RxBasis computes spread, rebate gaps, and above-NADAC overpayments. Every dollar is traced to your data and audit-ready, not estimated by a model. Show More
Exouza

Exouza

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Founded

2019

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0

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About Exouza

Exouza was founded by health and technology industry experts to leverage modern technology to develop a single platform that maximizes the value of member benefits to integrate all available programs in a single platform that quickly and efficiently improves the process of managing health and Rx delivery. Exouza's technology quantifies the value from each member's eligible program, sequences engagement in prioritized order, and manages participation so that the member and employer achieve maximum value. Each member and drug experience is different which makes the Exouza solution unique. Savings service and value are guaranteed.
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Integrated Prescription Management

Integrated Prescription Management

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Founded

2009

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0

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About Integrated Prescription Management

IPM is now part of LucyRx

Integrated Prescription Management (IPM) is a full-service pharmacy benefits manager (PBM) that works with self-funded employer groups, brokers, and TPAs around the country. Known for our high-touch service, insightful analytics, and flexible benefit designs, we take a collaborative approach to controlling costs without compromising care. Show More
Kelly Benefits

Kelly Benefits

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Will not complete per Corp Comm 1.8.24 Show More
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Remedy Analytics

Remedy Analytics

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Founded

2013

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0

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About Remedy Analytics

Remedy’s mission is to make prescription drugs more affordable and accessible for self-insured payors and patients for optimal health. It was built on the premise that in order to understand the true cost of a prescription drug and its utilization, access to data that every claim generates is essential, along with sophisticated analytics necessary to agnostically understand – and act on -- that data. Show More

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